In the established market economies, the label tropical neurology evokes memories of disorders that appear more frequently in medical certifying examinations than in everyday clinical settings. After spending more than 30 years in practice, I have yet to encounter a case of lathyrism, tetanus, or organophosphorus poisoning, much less neurofilariasis, rabies, or cerebral malaria. Yet I can truly say that reviewing this remarkably comprehensive book has been a valuable learning experience because it is written, for the most part, by seasoned clinicians who draw scientific and phenomenological parallels between disorders that are exotic in the West and those (neuropathies, epilepsy, and strokes) that are commonly encountered worldwide.